Brenda D Polston

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BRENDA D POLSTON

Doing business as

That Certain Look

Practice address

300 Van Buren
Judsonia, AR 72081-0297

Phone

(501) 729-5490

Fax

(501) 729-1511

NPI assigned

May 8, 2006

Last updated

Jul 10, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Brenda D Polston

Title

Owner

Phone

(501) 729-5490

Specialties & licenses 1

Addresses

Other names 1

• THAT CERTAIN LOOK Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1285683250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "address_2": "300 VAN BUREN",
            "city": "JUDSONIA",
            "state": "AR",
            "postal_code": "720810297",
            "telephone_number": "501-729-5490",
            "fax_number": "501-729-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 VAN BUREN",
            "city": "JUDSONIA",
            "state": "AR",
            "postal_code": "720810297",
            "telephone_number": "501-729-5490",
            "fax_number": "501-729-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA D POLSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "POLSTON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-729-5490",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THAT CERTAIN LOOK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Judsonia, AR
• Providers in Judsonia, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.